Sentara Martha Jefferson Hospital
500 Martha Jefferson Drive, Charlottesville, VA · Sentara · · NPI 1346248663
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Colonoscopy flex with decompression 45393 CPT 45393 | not published | not published | $1,190.90 – $4,314.00 | 6 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | not published | not published | $1,190.90 – $3,276.00 | 6 |
| Colonoscopy for bleeding 44391 CPT 44391 | not published | not published | $1,010.00 – $3,276.00 | 6 |
| Colonoscopy for foreign body CPT 44390 | not published | not published | $925.49 – $3,276.00 | 6 |
| Colonoscopy & polypectomy 44392 CPT 44392 | not published | not published | $1,010.00 – $3,276.00 | 6 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | not published | not published | $1,190.90 – $4,314.00 | 6 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | not published | not published | $1,010.00 – $3,276.00 | 6 |
| Colonoscopy submucous njx CPT 45381 | not published | not published | $1,190.90 – $3,276.00 | 6 |
| Colonoscopy thru stoma spx CPT 44388 | not published | not published | $925.49 – $3,276.00 | 6 |
| Colonoscopy w/ablation CPT 45388 | not published | not published | $1,190.90 – $4,314.00 | 6 |
| Colonoscopy w/balloon dilat CPT 45386 | not published | not published | $1,190.90 – $3,276.00 | 6 |
| Colonoscopy w/band ligation CPT 45398 | not published | not published | $1,190.90 – $4,314.00 | 6 |
| Colonoscopy w/control bleed CPT 45382 | not published | not published | $1,190.90 – $3,276.00 | 6 |
| Colonoscopy w/decompression CPT 44408 | not published | not published | $925.49 – $4,314.00 | 6 |
| Colonoscopy w/dilation CPT 44405 | not published | not published | $1,190.90 – $4,314.00 | 6 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | not published | not published | $1,190.90 – $3,276.00 | 6 |
| Colonoscopy w/endoscopic fnb CPT 45392 | not published | not published | $1,190.90 – $3,276.00 | 6 |
| Colonoscopy/w endoscopic stent 45389 CPT 45389 | not published | not published | $2,670.00 – $6,204.64 | 6 |
| Colonoscopy w/fb removal CPT 45379 | not published | not published | $1,190.90 – $3,276.00 | 6 |
| Colonoscopy w/injection CPT 44404 | not published | not published | $1,190.90 – $4,314.00 | 6 |
| Colonoscopy with ablation CPT 44401 | not published | not published | $1,190.90 – $4,314.00 | 6 |
| Colonoscopy (with biopsy) CPT 45380 | not published | not published | $1,190.90 – $3,276.00 | 6 |
| Colonoscopy with biopsy CPT 44389 | not published | not published | $1,010.00 – $3,276.00 | 6 |
| Colonoscopy (with polyp removal) CPT 45385 | not published | not published | $1,190.90 – $3,276.00 | 6 |
| Colonoscopy w/ndl aspir/bx CPT 44407 | not published | not published | $1,190.90 – $4,314.00 | 6 |
| Colonoscopy w/resection CPT 45390 | not published | not published | $2,670.00 – $4,314.00 | 6 |
| Colonoscopy w/stent plcmt CPT 44402 | not published | not published | $2,004.00 – $6,204.64 | 6 |
| Colonoscopy w/ultrasound CPT 44406 | not published | not published | $1,190.90 – $4,314.00 | 6 |
| Colostomy skin level cecostomy 44320 CPT 44320 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Colostomy with biopsies CPT 44322 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Colotomy exploration/bx/foreign body removal 44025 CPT 44025 | not published | not published | $1,547.00 – $4,339.00 | 2 |
| Colpocentesis 57020 CPT 57020 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Colpocleisis (le forte type) 57120 CPT 57120 | not published | not published | $4,007.00 – $8,246.00 | 5 |
| Colpopexy abdominal approach 57280 CPT 57280 | not published | not published | $4,007.00 – $5,978.00 | 2 |
| Colpopexy extraperitoneal CPT 57282 | not published | not published | $4,007.00 – $10,995.00 | 5 |
| Colpopexy intraperitoneal CPT 57283 | not published | not published | $4,007.00 – $10,995.00 | 5 |
| Colpopexy, min/inv, ex-perit HCPCS C9778 | not published | not published | $4,007.00 – $5,978.00 | 5 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | $1,776.00 | $3,552.00 | $1,010.00 – $5,978.00 | 6 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | not published | not published | $916.63 – $1,547.00 | 6 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | not published | not published | $201.20 – $1,010.00 | 6 |
| Colposcopy vulva 56820 CPT 56820 | not published | not published | $201.20 – $2,845.00 | 6 |
| Colposcopy vulva w/biopsy 56821 CPT 56821 | not published | not published | $303.27 – $1,010.00 | 6 |
| Colposcopy w/biopsy of cervix 57455 CPT 57455 | $449.50 | $899.00 | $303.27 – $1,010.00 | 6 |
| Colpotomy drng of abscess 57010 CPT 57010 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Colpotomy w/exploration 57000 CPT 57000 | not published | not published | $1,010.00 – $5,978.00 | 6 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $192.50 | $385.00 | $24.52 – $174.12 | 5 |
| Compatibility test each unit electronic CPT 86923 | $200.00 | $400.00 | $26.38 – $174.12 | 5 |
| Compatibility test each unit immediate spin technique CPT 86920 | $192.50 | $385.00 | $24.52 – $174.12 | 5 |
| Compatibility test incubate CPT 86921 | $185.50 | $371.00 | $16.50 – $174.12 | 5 |
| Comp cystometrogram/void presssure 51728 CPT 51728 | $550.50 | $1,101.00 | $693.95 – $2,845.00 | 6 |
| Comp cystometrogram/void/uret pres 51729 CPT 51729 | not published | not published | $693.95 – $2,845.00 | 6 |
| Complement antigen each component c3 CPT 86160 | $103.50 | $207.00 | $12.24 – $20.14 | 5 |
| Complement fixation each CPT 86171 | not published | not published | $10.21 – $16.80 | 5 |
| Complete removal of vulva CPT 56625 | not published | not published | $3,221.58 – $5,978.00 | 6 |
| Completion pneumonectomy 32488 CPT 32488 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Complex cystometrogram 51726 CPT 51726 | $507.50 | $1,015.00 | $248.65 – $1,010.00 | 6 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $679.00 | $1,358.00 | $404.56 – $1,571.00 | 6 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $848.00 | $1,696.00 | $511.00 – $3,895.00 | 6 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | $74.50 | $149.00 | $214.89 – $2,845.00 | 6 |
| Compl oph exam general anes CPT 92018 | not published | not published | $2,366.07 – $5,978.00 | 5 |
| Compl rpr tof w/pulm atresia CPT 33697 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $848.00 | $1,696.00 | $511.00 – $3,895.00 | 6 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $927.00 | $1,854.00 | $511.00 – $3,895.00 | 6 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $848.00 | $1,696.00 | $511.00 – $3,304.00 | 2 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $734.50 | $1,469.00 | $404.56 – $1,571.00 | 6 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $809.00 | $1,618.00 | $404.56 – $3,895.00 | 6 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $734.50 | $1,469.00 | $511.00 – $2,004.00 | 2 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $679.00 | $1,358.00 | $511.00 – $2,004.00 | 2 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | $452.00 | $904.00 | $511.00 – $1,571.00 | 6 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $502.00 | $1,004.00 | $511.00 – $2,004.00 | 2 |
| Component ankle afo plastic jt mold to pt mdl foot cup HCPCS L1970 | $733.30 | $1,466.60 | not published | 0 |
| Composite byp grft 2 veins CPT 35682 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Composite byp grft 3/> segmt CPT 35683 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Composite byp grft pros&vein CPT 35681 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Composite graft/pri close/don area 15760 CPT 15760 | not published | not published | $1,571.00 – $3,276.00 | 6 |
| Comprehensive hearing test CPT 92557 | $268.00 | $536.00 | $128.06 – $131.82 | 4 |
| Compre oph exam est pt 1/> CPT 92014 | not published | not published | $132.50 – $136.39 | 4 |
| Compre oph exam new pt 1/> CPT 92004 | not published | not published | $132.50 – $136.39 | 4 |
| Comp rpr tof wo pulm atresia CPT 33692 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | not published | not published | $347.20 – $357.41 | 4 |
| Concentration infection agents any type CPT 87015 | $29.50 | $59.00 | $6.81 – $11.20 | 5 |
| Conditioning play audiometry 92582 CPT 92582 | not published | not published | $128.06 – $131.82 | 4 |
| Condylomata destruction 56420 CPT 56420 | $469.00 | $938.00 | $201.20 – $1,010.00 | 6 |
| Conform band n/s w>=3"<5"/yd HCPCS A6443 | $9.32 | $18.63 | not published | 0 |
| Congo red blood test HCPCS P2029 | not published | not published | $5.05 – $7.33 | 5 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Conization of cervix CPT 57520 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | not published | not published | $399.90 – $411.67 | 4 |
| Connector tis 2x10mm HCPCS C9352 | $1,108.51 | $2,217.02 | not published | 0 |
| Constj trachesophgl fstl CPT 31611 | not published | not published | $3,299.54 – $5,978.00 | 6 |
| Construct bladder opening CPT 51980 | not published | not published | $5,978.00 – $5,978.00 | 1 |
| Construct bowel bladder CPT 50820 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Construct bowel bladder CPT 50825 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Construction of absent anus CPT 46730 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Construction of absent anus CPT 46735 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Construction of absent anus CPT 46740 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Construction of vagina CPT 57291 | not published | not published | $4,007.00 – $5,978.00 | 6 |
| Construct thumb replacement CPT 26550 | not published | not published | $1,571.00 – $8,246.00 | 6 |
| Construct vagina with graft CPT 57292 | not published | not published | $3,338.00 – $8,246.00 | 5 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.